| NPI | 1376668053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON RUTH BUCK Office Manager 209-951-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 14605) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 27277) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |