NPI | 1831621291 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER MARTARELLA President 510-967-2474 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21758) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT19666) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |