| NPI | 1699009753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENI BAGOURDI Clinical Director 310-999-9683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22542) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2021-06-01 |