| NPI | 1598877201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SULLIVAN EVERSTINE President 408-342-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 4771) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |