| NPI | 1487823332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MANESS DUGAN Owner 310-621-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY13736) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |