| NPI | 1326779505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON BARBARA MICHELSON Mental Health Therapist 408-644-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041S0200X Social Worker School |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-06-20 |