| NPI | 1881452688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHRA A KIM Psychologist 323-206-8374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |