| NPI | 1871209189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIAM ZAIDEL Clinical Psychologist 818-633-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |