| NPI | 1811347784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI FAITH Owner 310-409-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |