NPI | 1154332419 |
---|---|
Doing Business As | N/A |
Entity Type | Organization |
Authorized Contact | JACK LATOW Owner 530-661-1666 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy08259) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2020-08-22 |