NPI | 1972365823 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY GISI Director 707-624-9504 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2024-01-26 |
Last Update Date | 2024-01-26 |