| NPI | 1053767947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON CARMEN BRIGHTWELL Owner 310-801-9097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 82283) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |