| NPI | 1417491952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BLOOM-GENEVITZ CEO/President 310-582-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 43614) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |