| NPI | 1770765794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KILGORE Owner 916-458-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 14094) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2021-11-18 |