| NPI | 1043661143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIE MAHLBERG Director, CEO 707-330-7904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92236) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 25589) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-08-22 |