| NPI | 1902830235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J. TRIPP Executive Director 916-456-4614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW19614) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC37882) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC27154) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC11904) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |