| NPI | 1972138386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA AGASSI Director/ President 209-718-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |