| NPI | 1215389556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTINE PATTERSON ALLEN Owner 310-717-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49319) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 544) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |