| NPI | 1932597341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE THORN Licensed Psychologist 562-257-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26326) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |