| NPI | 1184093635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRANDIS Head Of Legal 415-710-2586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23529) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |