| NPI | 1538518451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FORD OGLESBY Vice President 650-409-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 41525) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 19454) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |