| NPI | 1063543619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY S YOUNG Practice Manager 951-369-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC13030) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |