| NPI | 1548513849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A DAVIDSON President 858-672-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY19308) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |