| NPI | 1508052002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER POND President 818-888-3408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 103TF0000X Psychologist Family | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |