| NPI | 1174367650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN JASMINE DOBBS-MARSH Chief Financial Officer 650-804-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |