| NPI | 1942479852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K.C BUGG Clinical Psychologist 626-209-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21273) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2012-08-29 |