| NPI | 1750830493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN DRAVEN GODWIN Psychologist 323-610-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY21516) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |