| NPI | 1831634526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROBERT DAVIS President 408-249-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT35938) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |