NPI | 1851167506 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA GOMEZ CEO 619-361-1207 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TF0200X Psychologist, Forensic |
103TH0004X Psychologist, Health | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
103TP2701X Psychologist, Group Psychotherapy | |
103TA0700X Psychologist, Adult Development & Aging | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2023-12-04 |
Last Update Date | 2023-12-04 |