| NPI | 1922424928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SAND CANALES Psychologist 916-230-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 072180) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |