| NPI | 1831672104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL HUANG WONG Owner/Licensed Psychologist 805-253-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2023-01-30 |