| NPI | 1134007164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA TERESA WILLSON Owner 650-800-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |