NPI | 1760736458 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEX CAMPBELL President 415-971-1186 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-08-4718) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC30244) |
Enumeration Date | 2012-11-01 |
Last Update Date | 2012-11-01 |