| NPI | 1912670613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDYN SATER TROCKMAN Owner 310-526-5268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2023-07-01 |