| NPI | 1942020672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA KING Psychologist/CEO 415-617-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |