| NPI | 1952057598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA BOSQUE Licensed Clinical Social Worker 707-327-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-24 |