| NPI | 1942509799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L WOOD Clinical Psychologist 310-657-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 4160) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2020-02-19 |