| NPI | 1689218380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIE SHUGHART Administrative Assistant 415-456-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |