| NPI | 1477958304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BROWN Co Executive Director 323-851-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 4232) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 11879) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |