| NPI | 1669865903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE CORSIGLIA Licensed Marriage Family Therapist 415-255-3253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA mft39244) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |