| NPI | 1467631218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE B WHITNEY Corporate Secretary 805-857-1289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY14884) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2020-12-17 |