| NPI | 1518179191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLARK ROUBICEK Owner 559-323-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 15811) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 43024) |
| 106H00000X Marriage & Family Therapist (Licence: CA 42972) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |