| NPI | 1902999410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE BOUVIER Clinical Psychologist 714-841-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY14709) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |