| NPI | 1013262906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA ADELINE WEYLAND CEO/President 510-534-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy14852) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-31 |