NPI | 1609118165 |
---|---|
Entity Type | Organization |
Authorized Contact | DOMINIQUE BENAVIDEZ Owner 310-373-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22620) |
Enumeration Date | 2013-03-22 |
Last Update Date | 2013-03-22 |