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 |