| 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 |