| NPI | 1568919983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA MARIA GRACE Owner 619-381-8472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24462) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-12-04 |