| NPI | 1093341398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA IVES CEO/Lmft 818-400-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |