| NPI | 1609170828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIA COLE Corporation Secretary 805-483-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY6542) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2016-11-04 |