| NPI | 1528246394 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TAMMY ANN OUELLETTE Clinical Psychologist/CEO 714-732-1773  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY20145)  | 
| Enumeration Date | 2008-02-04 | 
| Last Update Date | 2014-09-19 |