| NPI | 1902359722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE THOMASON Clinical Psychologist 209-595-9735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21141) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |