| NPI | 1891557260 |
|---|---|
| Former Legal Business Name | SAGE THERAPY AND CONSULTING SERVICES, LICENSED CLINICAL SOCIAL WORKER |
| Entity Type | Organization |
| Authorized Contact | JENNA BOYOVICH President 650-503-6494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |