| NPI | 1285766022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE SCHAUBEL Senior Clerk 858-573-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2025-09-11 |