| NPI | 1376007815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PONTILLO Psychologist 858-692-4187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |