| NPI | 1740316967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DANIELS ZINK Owner 619-296-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY11406) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY4965) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |