| NPI | 1407548159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE RENAE HERMOSILLO Owner/Marriage And Family Therapist 323-719-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-07-20 |