| NPI | 1861899080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA COPELAND Psychologist/Owner 760-449-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22974) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 39137) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-15 |