| NPI | 1013437698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE KATRIN GILLESPIE Owner 619-284-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy24920) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2024-08-23 |