| NPI | 1881459147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DAVIS Owner 626-833-4198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |