| NPI | 1164786851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA CARLA GOMES LAIDLEY Owner/President 310-538-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC44112) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |