| NPI | 1144461690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA SHEFTZ WINSTON CFO 310-866-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY14856) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC42941) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |