| NPI | 1215440086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LAWRENCE TESTA Marriage And Family Therapist 310-614-1637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC44747) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2018-06-16 |