| NPI | 1972014819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA RICHARDSON GRIP President 818-927-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29379) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2021-05-20 |