| NPI | 1477007508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN PHILLIPS Psychologist 714-582-6132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28184) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |