| NPI | 1154154060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CHERI OLSON Owner 760-265-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |