| NPI | 1144770207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEISY CRISTINA BOSCAN Owner 858-263-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY18873) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2021-12-14 |