| NPI | 1053512616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIUS K FANIBANDA President 408-354-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY5108) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |