| NPI | 1063077782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY ALEXANDRIA HARRIS Marriage Family Therapist 323-546-9838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |