| NPI | 1952492530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY IAN FIELDS President 916-425-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy16113) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-12-11 |