NPI | 1073828273 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL JEFFERS CLARK Clinical Psychologist 916-739-1926 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20715) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 20715) |
103TF0000X Psychologist, Family (Licence: CA PSY 20715) | |
1041C0700X Social Worker, Clinical (Licence: CA LCS 24412) | |
106H00000X Marriage & Family Therapist (Licence: CA MFC 36061) | |
Enumeration Date | 2010-08-11 |
Last Update Date | 2010-08-11 |