NPI | 1588161384 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LEATH President 949-385-2775 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26109) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2024-05-31 |