| NPI | 1265592851 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JUDITH JANARO FABIAN President & Chief Executive Officer 415-771-7171  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY3488)  | 
| Enumeration Date | 2006-12-12 | 
| Last Update Date | 2020-08-22 |