NPI | 1942005830 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA FORD LEUFROY Partner/Owner/Clinical Psychologist 818-369-9060 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TS0200X Psychologist, School | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2025-02-15 |
Last Update Date | 2025-02-15 |