| NPI | 1659758167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA WANG Clinical Psychologist 818-253-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2518) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6113) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |