| NPI | 1073881991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER FUTRAL Owner/Psychologist 707-527-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003418) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |