| NPI | 1609828755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJAN DAVOUDI Owner 858-205-5486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 060009174) |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-05-11 |