| NPI | 1598955239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LOUISE HOLLEY Licensed Clinical Psychologist 661-206-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2024-05-01 |