| NPI | 1922626761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAURI GOEL Co Owner 310-974-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TE1100X Psychologist, Exercise & Sports | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-09 |