| NPI | 1245747740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ZYLSTRA Member 415-585-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2023-06-27 |