NPI | 1063723948 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA K DIETZ Psychologist 415-833-4092 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 23391) |
Enumeration Date | 2010-06-25 |
Last Update Date | 2010-06-25 |