| 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 |