NPI | 1972040095 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD LABRIE President 626-755-1825 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28600) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2022-07-21 |