| NPI | 1053571554 |
|---|---|
| Doing Business As | LISA A KONEN, MA MFT |
| Entity Type | Organization |
| Authorized Contact | LISA ANNE KONEN Sole Member 310-597-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201204) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42186) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2012-05-15 |