NPI | 1528517786 |
---|---|
Entity Type | Organization |
Authorized Contact | MARA TANSMAN President 310-734-0306 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY16710) |
Enumeration Date | 2016-09-29 |
Last Update Date | 2016-09-29 |