| NPI | 1730538257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYLENE BOOTH Office Manager 559-797-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS12021) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY18448) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF86429) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF74123) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF75782) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF79510) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |