DIANA S POULSON

SEBASTOPOL, CA
NPI1114241205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC34244)
Enumeration Date2010-03-18
Last Update Date2010-03-18
Business Address
-- DIANA S POULSON
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472-3309
Phone number: 707-824-4782
Mailing Address
-- DIANA S POULSON
708 GRAVENSTEIN HWY N #339
SEBASTOPOL, CA 95472-2808
Phone number: 707-824-4782