NPI | 1083366389 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGENA LORINE CARTER Owner 310-648-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-01-19 |
Last Update Date | 2024-01-08 |