| NPI | 1548622574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LEIGH HASELEY LOPEZ Psychologist 415-572-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4338) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |