| NPI | 1770157166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE TICOULET Lmft 408-800-3319 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 171400000X |
| 261QR1100X Clinic/Center Research | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |