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 |