| NPI | 1083101711 |
|---|---|
| Former Legal Business Name | WELLSPACE MARRIAGE AND FAMILY THERAPY, INC. |
| Entity Type | Organization |
| Authorized Contact | TARA DANIELLE BAKER Owner 415-632-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| 133N00000X Nutritionist | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-07-16 |