| NPI | 1043919723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIELLA LAURIOLA Licensed Clinical Psychologist 650-753-9663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |