| NPI | 1659818060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLYN CLEMENTELLI Psychologist 408-204-8518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY28217) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |