| NPI | 1619412194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHULLY SALMAN Owner, Psy D 310-500-5193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27314) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2019-01-02 |