| NPI | 1427171131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ELLYN GARTH Clinical Psychologist 415-865-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251S00000X (Licence: CA psy18706) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |