| NPI | 1174643035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY KRAMER Psychologist 760-966-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY4219) |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2012-07-13 |