| NPI | 1225162274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BLAESS President 619-804-1669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy17107) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2019-11-15 |