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 |