| NPI | 1326458878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA L LEWIS Psychotherapist 818-284-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 61311) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2015-06-12 |