| NPI | 1568890606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILEE LAYNE WASELL Owner/Psychologist 619-200-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY20864) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |