| NPI | 1447671334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL BOWEN Clinical Psychotherapist, Intern 310-256-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |