| NPI | 1396447868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAMERCEDES YEGANEH Program Director 415-730-7073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 106H00000X Marriage & Family Therapist | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |