| NPI | 1184989105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE DIANE VOTH Officer 619-261-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22284) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2013-05-15 |