NPI | 1619628245 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA BAHADOR CEO Licensed Clinical Psychologist 310-922-3027 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2022-01-14 |
Last Update Date | 2022-01-14 |