| NPI | 1710136916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WHYDDON GLADSTONE Owner/Director 805-646-9724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY6173) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |