| NPI | 1801975305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ELLEN GREENE Clinical Psychologist Owner 619-234-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY6176) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC14659) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP191) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |