| NPI | 1629558903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA BEREZAY Marriage & Family Therapist 209-408-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2020-12-31 |