| NPI | 1093052565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLICENT SHUNGU MAZAUWABA Cheif Executive Officer 310-677-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |