| NPI | 1407283385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEITH SUTTON Director 415-488-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |