ILKA LOUISE DE GAST

SANTA ROSA, CA
NPI1649576851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY24409)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  PSB33686)
Enumeration Date2011-02-04
Last Update Date2014-05-13
Business Address
-- ILKA LOUISE DE GAST PsyD
3569 ROUND BARN CIR
SANTA ROSA, CA 95403-1757
Phone number: 707-547-2222
Mailing Address
-- ILKA LOUISE DE GAST PsyD
3569 ROUND BARN CIR
SANTA ROSA, CA 95403-1757
Phone number: 707-547-2222