| NPI | 1144639253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA HEIDEN BLANK Co Owner 818-379-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49485) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |