| 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 |