| NPI | 1336485523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN LIGHTSTONE Owner And Therapist 415-227-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 000547) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |