| NPI | 1801141007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA MARIE GONZALEZ Licensed Clinical Psychologist 209-722-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy20834) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |