| NPI | 1083758585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JENKINS Psychologist 619-347-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY10627) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2016-04-06 |