| NPI | 1366715450 |
|---|---|
| Doing Business As | NOT APPLICABLE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM SUTTON Director 415-857-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY22439) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |