| NPI | 1669603320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E. ROE President 530-676-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 5769) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 6551) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |