| NPI | 1548670797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY HAM Partner 626-319-6327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 22723) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77636) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |