NPI | 1720610629 |
---|---|
Entity Type | Organization |
Authorized Contact | ARLENE TICOULET Lmft 408-800-3319 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 175F00000X Naturopath |
2083B0002X Preventive Medicine, Obesity Medicine | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
405300000X Prevention Professional | |
Enumeration Date | 2020-02-08 |
Last Update Date | 2021-02-08 |