| NPI | 1962620534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS V GOLDMAN President 310-820-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 13191) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 13191) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 13191) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY 13191) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: CA PSY 13191) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |