| NPI | 1477951275 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | AHARON GROSSBARD Psychologist 415-705-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA MFT # 27213) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |