| NPI | 1386431120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SMITH CEO 916-888-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |