| NPI | 1235969163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY QUIRK Psychologist 926-967-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |