| NPI | 1144642570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA REGEDANZ CEO 650-248-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY23220) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT18361) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-05-05 |