| NPI | 1588099204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGA THU NGUYEN Therapist 408-314-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 27923) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |