| NPI | 1033412853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKOL S. DAVIS President 415-459-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 00Pl90630) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2013-01-30 |