| NPI | 1437434024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN INGRID MICHAELS Licensed Clinical Psychologist 831-234-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 23546) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 23546) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA 23546) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 23546) | |
| 103TC1900X Psychologist, Counseling (Licence: CA 23546) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 23546) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA 23546) | |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-15 |