| NPI | 1184062655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WEISSKOPF Owner 858-232-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21048) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2022-12-01 |