| NPI | 1083906408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE JAFFE Director/Owner 858-208-9689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY18811) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |