| NPI | 1164915112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BRUCE PERLMUTTER Founder/Director 415-322-0939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY25112) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |