| NPI | 1639547763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE INGHAM Licensed Clinical Psychologist 650-391-6186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA PSY27362) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA PSY27362) |
| Enumeration Date | 2015-09-06 |
| Last Update Date | 2015-09-06 |