| NPI | 1619823630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POOJA SAM Director, Regulatory Compliance 408-431-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TS0200X Psychologist, School | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| 106H00000X Marriage & Family Therapist | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-03-10 |