| NPI | 1164206454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIOKO JULIETTE GREVIOUS Executive Director 916-639-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |