NPI | 1164814174 |
---|---|
Entity Type | Organization |
Authorized Contact | DAUN BAKER A VP Training And Licensure Affairs 310-481-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YP2500X Counselor, Professional |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2015-02-27 |
Last Update Date | 2015-02-27 |