NPI | 1154624781 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIANA K SILVA President 619-415-7639 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy 21878) |
Enumeration Date | 2010-12-21 |
Last Update Date | 2019-09-11 |