| NPI | 1245738830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRIN TABIB Marriage And Family Therapist 310-903-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |