| NPI | 1629580568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J BUONFIGLIO Psychologist 415-423-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27374) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |