NPI | 1245458132 |
---|---|
Doing Business As | KIMBERLY CORBETT, PSY.D., M.F.T. |
Entity Type | Organization |
Authorized Contact | KIMBERLY FARA CORBETT President/CEO 619-298-0169 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21669) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC39583) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-09-15 |