| 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 |