GENNIFER AMANDA ALIE

SAN CARLOS, CA
NPI1437527538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
Enumeration Date2015-09-04
Last Update Date2015-09-04
Business Address
-- GENNIFER AMANDA ALIE
610 ELM ST STE 212
SAN CARLOS, CA 94070-3070
Phone number: 650-591-9623
Mailing Address
-- GENNIFER AMANDA ALIE
610 ELM ST STE 212
SAN CARLOS, CA 94070-3070
Phone number: 650-591-9623