| NPI | 1407362247 |
|---|---|
| Doing Business As | VIRTUAL THERAPY LIVE |
| Entity Type | Organization |
| Authorized Contact | HOLLY AMANDA GRAHAM Vice President 661-201-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT46684) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT48934) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |