| NPI | 1356991137 |
|---|---|
| Doing Business As | HOLLYWOOD THERAPY |
| Entity Type | Organization |
| Authorized Contact | SHANNON LEE CEO 323-741-0044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2020-05-13 |