NPI | 1578916847 |
---|---|
Entity Type | Organization |
Authorized Contact | TONJA DUVARDO President 714-271-9236 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY15770) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2016-07-21 |