| NPI | 1205701919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE HARDISTY Mental Health Therapist 415-488-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |