| NPI | 1609990209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W. MARTIN Owner 949-248-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9840) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-03-07 |