| NPI | 1487084299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALAN LISS President 415-668-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY9288) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2014-05-02 |