| NPI | 1730923202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANDA DEWETTE NORMAN Owner/Clinical Director 760-899-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |