| NPI | 1568611697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO OSVALDO HERRERA President 310-601-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY15739) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |