| NPI | 1255034203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN LYN KAMINSKI Director 530-500-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2026-08-17 |