| NPI | 1003391533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL YVONNE WILSON KAKISHITA Owner 925-605-9127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |