| NPI | 1548072192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR ALLEN DANIELS Owner/Licensed Clinical Psychologis 818-321-7419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |