| NPI | 1669012787 |
|---|---|
| Doing Business As | MIND BODY SOUL PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | GRICELDA FRAGOSO Clinical Psychologist/Owner 760-487-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2024-01-30 |