| NPI | 1992938278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENA AVITAL KRAVITZ President 818-314-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21989) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |