| NPI | 1043758584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MCGILLIS Owner 415-994-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93705) |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2017-02-04 |