| NPI | 1225685845 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DIANA MORALES Office Manager 510-483-6715  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-08-19 | 
| Last Update Date | 2023-01-03 |