| NPI | 1609549294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE KOCEN Credentialing 415-851-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-05-12 |