| NPI | 1013938190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MAGNUSSON President 760-634-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY8568) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2011-09-16 |