| NPI | 1780081547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RUARK President 310-837-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY10329) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT34153) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |