| NPI | 1447983549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY YAGHOUBIAN Owner 323-938-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |