| NPI | 1962888917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GRAJEWSKI Principal Psychologist 949-633-5456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY27053) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |