| NPI | 1386196541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MENANNO Psychotherapist 818-384-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA MFT93696) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |