| NPI | 1568981678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETT SCIMONE ROSS Licensed Clinical Psychologist/Owne 858-361-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY22304) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |