| NPI | 1487988655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY WOOD Psychologist 805-653-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY7570) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |