NPI | 1154516003 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE A WILNIER President 949-293-5384 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20932) |
Enumeration Date | 2007-09-12 |
Last Update Date | 2007-09-12 |