| NPI | 1427415967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI L CEBALLOS Licensed Clinical Psychologist 619-354-2682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26623) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |