| NPI | 1467701649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN GAUNTLETT Executive Director 415-317-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY23692) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |