| NPI | 1689684607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE WITHERSPOON President 310-838-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15514) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY13838) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |