| NPI | 1891035747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN MACDONALD Owner 760-439-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY17137) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |