NPI | 1487286738 |
---|---|
Doing Business As | SHANA AVERBACH, LMFT |
Doing Business As | SOURCE PSYCHOTHERAPY |
Entity Type | Organization |
Authorized Contact | SHANA AVERBACH Owner/Therapist 415-225-8750 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-02-05 |
Last Update Date | 2021-06-03 |