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 |