| NPI | 1235589946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA S BALTAS Psychotherapist 310-251-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 41475) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |