| NPI | 1760924658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PERRY Executive Director 510-524-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |