| NPI | 1659761849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE ROBLES LOVE Clinical Psychologist/CEO 559-250-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY18321) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CA PSY18321) |
| 103T00000X Psychologist (Licence: CA PSY18321) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY18321) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY18321) | |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY18321) | |
| 103TH0004X Psychologist, Health (Licence: CA PSY18321) | |
| 103TH0100X Psychologist, Health Service (Licence: CA PSY18321) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY18321) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY18321) | |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2017-05-08 |