| NPI | 1316316128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDI MICHELE OLIPHANT Partner 916-934-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT85949) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT49748) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |