| NPI | 1376224402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR J OLSON Psychologist/Owner 858-255-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |