| NPI | 1184077497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA THIBODEAU Manager 650-934-3526 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LCSW 66546) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |