| NPI | 1023322864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J DUCAT Owner 415-451-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 14896) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CA 180) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2011-04-21 |