NPI | 1386833911 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIGI PICIUCCO Psychologist Owner 916-361-7188 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY8312) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY8312) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-10-19 |