| NPI | 1043186166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE CAROLINE HICKS Owner, Therapist 619-786-3697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |