| NPI | 1679837702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTEL EDMONS-BIGLOW Owner 323-369-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY19260) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2020-11-02 |