| NPI | 1528808698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BANUELOS Owner 562-212-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |