| NPI | 1013801117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA L STOCKER Owner 760-428-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |