| NPI | 1902246341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA GOUDSMIT Clinical Psychologist 323-852-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 28867) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 019531) |
| 103TC0700X Psychologist Clinical (Licence: NY 019531) | |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2018-01-01 |