| NPI | 1730444134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANI TALEBI Manager 805-252-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34137) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 34463) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |