| NPI | 1093161218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA JAVADI CEO 310-819-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT40403) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW5470) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT37168) | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-16 |