| NPI | 1205036050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN TRIBULATO WILLIAMS Clinical Psychologist 805-907-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 21054) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |