| NPI | 1598023475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE SUZANNE KOONIN Director 619-688-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LL10793) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2017-12-08 |