NPI | 1023623063 |
---|---|
Entity Type | Organization |
Authorized Contact | TRISTEN WINSTON Owner/Licensed Psychologist 858-722-2018 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TF0000X Psychologist, Family |
103T00000X Psychologist | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC1900X Psychologist, Counseling | |
103TF0200X Psychologist, Forensic | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2020-09-15 |
Last Update Date | 2020-09-15 |