| NPI | 1093543423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN MASSEY Owner/Authorized Official 619-654-4392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |