| NPI | 1780409219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCELLE HOEFNAGELS Administration 415-456-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |