| NPI | 1578949293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE JANELLE MCKENZIE Licensed Psychologist 323-934-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27389) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |