| NPI | 1326573338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KATHRYN MENDEZ Clinical Psychologist 916-761-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY#28871) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |