| NPI | 1275205379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PEACOCK MCLAUGHLIN Sole Proprietor/Only Member 818-579-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |