NPI | 1376710871 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN SACKETT President/Psychologist 408-257-6662 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY18785) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 33627) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2008-05-15 |