NPI | 1073028742 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISA DUCLOS-ROBINSON President/Lead Psychologist 760-793-8063 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY20363) |
Enumeration Date | 2017-12-04 |
Last Update Date | 2023-03-09 |