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 |