| NPI | 1063807113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEA PHINNEY RIDLEY President 530-401-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50023) |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2015-04-04 |