| NPI | 1720891963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DONOHOE Lcsw 707-500-3753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 104100000X Social Worker | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |