| NPI | 1982111613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE A LAMKE Owner 209-262-4387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 40555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2019-07-15 |