| NPI | 1881069086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONAH LAKIN Clinical Director 650-532-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26269) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2016-11-04 |