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 |