| NPI | 1043515315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY HAVILAND Owner/Supervisor 310-316-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 64317) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |