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 |