| NPI | 1346953460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA WYNER President 818-533-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-03-02 |