| 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 |