| NPI | 1992107007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M GLICKMAN Partner 805-610-8729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY26358) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC49152) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |