| NPI | 1851638506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE A BASER Owner 760-431-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9695) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2018-02-19 |