| NPI | 1962819789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA CALUMPIT CRUZ Owner 818-795-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A75757) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |