NPI | 1871604777 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE MARIE YOUNT-SMETANA Owner 760-674-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20432) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |