| NPI | 1629335054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE S. BILOTTA-SMITH Owner 310-663-6638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 24756) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |