| NPI | 1710305818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH COSMETIS Psychologist 619-786-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24117) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |