| NPI | 1407246861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HEATHER HISER Owner 916-974-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2010021053) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2010036629) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2024-08-16 |