| NPI | 1518369743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITE GRANDOVSKIS Clinical Psychologist 650-829-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy16398) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |