NPI | 1801821830 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK W. BAKER President 626-351-9616 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9219) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2007-10-16 |