| NPI | 1578004784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANYA VAENE LEE Owner 858-222-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 28196) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2018-03-13 |