| NPI | 1679827778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORY ANN PALECEK President 619-519-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY7272) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY7272) |
| 103TF0000X Psychologist, Family (Licence: CA PST7272) | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |