| NPI | 1689980443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE A KING Clinical Psychologist 310-371-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9813) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |