| NPI | 1023641081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN CHOKEMESIL Marriage And Family Therapist 310-808-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |