| NPI | 1245889906 |
|---|---|
| Doing Business As | ADVANCE INTEGRATED WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CAROL YASUKO KELSON Owner 310-909-4538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |