NPI | 1134639859 |
---|---|
Entity Type | Organization |
Authorized Contact | KEIKO Y MILLER Owner/CEO 925-885-6070 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 28008) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 28008) |
Enumeration Date | 2017-10-08 |
Last Update Date | 2021-06-30 |