| NPI | 1982737458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LYNN SANDERS Director 909-626-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY8288) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2023-01-10 |