| NPI | 1588029045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIDEH HASSANI REZAI Chief Executive Officer 619-265-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9899) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |