| NPI | 1871263723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINE HERNANDEZ Managing Member 510-456-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 251S00000X | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2022-06-09 |