NPI | 1003307877 |
---|---|
Entity Type | Organization |
Authorized Contact | KARIN MCAULIFF CFO 805-687-8021 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY11772) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY11772) |
Enumeration Date | 2018-05-28 |
Last Update Date | 2018-05-28 |