| NPI | 1083876676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA JEAN GHANEM-YBARRA President/Secretary 760-443-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY19964) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |