| NPI | 1801424742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SACHA BOLLAS Clinical Psychologist 310-741-7408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TP0814X Psychologist, Psychoanalysis | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |