| NPI | 1558719492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAGE SCHUITEVOERDER Owner 858-228-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25395) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |