| NPI | 1063889764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LEE Sole Proprieter 408-535-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA mfc77114) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |