| NPI | 1023897790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HAITSUKA Licensed Clinical Social Worker 415-322-8665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |