| NPI | 1326279183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE E. MAIN President 415-457-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY13384) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY13384) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY13384) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY13384) | |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY13384) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY13384) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY13384) | |
| 103TF0200X Psychologist, Forensic (Licence: CA PSY13384) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY13384) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |