| NPI | 1063974384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES PRISCILLA PALACIOS Marriage And Family Therapist 408-634-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |