| NPI | 1790461804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE HARPER Office Administrator 209-339-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 104100000X Social Worker | |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |