| NPI | 1790229433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHTERNIE KAGAN Marriage And Family Therapist 415-745-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 001331) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |