| NPI | 1558808725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY A. IHLE Clinical Psychologist 562-477-4765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY13704) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-03-27 |