| NPI | 1922833912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGDISH K SONI Chief Executive Officer 707-200-8225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TH0004X Psychologist Health | |
| 103TC1900X Psychologist Counseling | |
| 103TF0000X Psychologist Family | |
| 103TH0100X Psychologist Health Service | |
| 103TP0814X Psychologist Psychoanalysis | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2024-10-08 |