| NPI | 1982201166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BASURTO Psychotherapist 510-214-3167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |