NPI | 1497535934 |
---|---|
Entity Type | Organization |
Authorized Contact | JAZMIN L BURNS Owner/Founder/CEO 916-237-7488 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2023-10-03 |
Last Update Date | 2023-10-03 |