NPI | 1689012379 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTI EBSEN Owner/Psychotherapist 510-391-4099 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085914) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2025-04-03 |