| NPI | 1174753487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION SHANKER Mft/Psychotherapist 562-597-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA SO120822) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |