| NPI | 1538836531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MILLER CEO 510-356-8084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |