NPI | 1457754962 |
---|---|
Former Legal Business Name | PALO ALTO THERAPY |
Entity Type | Organization |
Authorized Contact | ERNEST SCHMIDT President 650-384-0342 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 21470) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 50104) |
106H00000X Marriage & Family Therapist (Licence: CA 47815) | |
Enumeration Date | 2014-09-29 |
Last Update Date | 2014-09-29 |