| NPI | 1548538945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GOLTER Executive Director 818-382-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA g40041) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |