| NPI | 1518261494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BOHAN SHACHAR Psychologist 949-999-0857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY17620) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |