| NPI | 1730545153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LAUREN SWEETON Licensed Clinical Psychologist 650-450-7904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1207) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |