| NPI | 1679928253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ZYLSTRA Owner 415-585-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000962) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44677) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |