NPI | 1972936466 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN ZASIO President 916-366-0647 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17274) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA LCS18641) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2019-07-30 |