| NPI | 1427477751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY BANTZ President/Clinical Psychologist 858-344-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20351) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-02-07 |