| NPI | 1790209906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE RAYHANABAD Clinical Psychologist 909-258-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29047) |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2022-07-21 |