| NPI | 1942428180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHRYN IRENA HARRIS Secretary 909-596-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY8000) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |