| NPI | 1982895421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMY ZORILLA Mpn COO Rdinator 714-972-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY12317) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2012-02-09 |