| NPI | 1457686024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C DONEL CROW Owner 661-323-5579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15399) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 106H00000X Marriage & Family Therapist | |
| 101Y00000X Counselor | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |