| NPI | 1760508725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE BARTOLF Principal 626-824-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY13137) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |