| NPI | 1972071728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHA HEIDARI GONZALEZ Clinic Director 818-971-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2021-12-28 |