| NPI | 1952059735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY PALMER Owner 707-782-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-03-11 |