| NPI | 1912035775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JOHNSON President 626-585-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 13102) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |