| NPI | 1811564792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY VAUDREY Owner & CEO 818-918-0574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-15 |