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 |