| NPI | 1598539280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN BATHEL Licensed Educational Psychologist 805-403-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |