| NPI | 1275969453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY W MILLER President 510-708-5973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8794) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-11-21 |