| NPI | 1760174247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO PEREZ Office Administrator 408-475-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |