| NPI | 1770863896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA FOSTER Clinical Psychologist 818-922-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY14284) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |