NPI | 1952070252 |
---|---|
Entity Type | Organization |
Authorized Contact | LARISSA LASKA-RUEBUSCH President 707-216-1612 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2021-09-09 |
Last Update Date | 2021-09-09 |