| NPI | 1962184713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SIKKELAND CEO 310-367-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |