| NPI | 1952020059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAINA JILL KATZ-LINDQUIST Co Director 424-391-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |