| NPI | 1073120127 |
|---|---|
| Other Name | GARY GREENE, LMFT |
| Entity Type | Organization |
| Authorized Contact | GARY GREENE Owner 310-872-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |