| NPI | 1063180057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LEIGH WITHEE Owner/Clinical Director 310-483-9577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |