| NPI | 1497217947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLYNN ANNE ODAHL Owner 310-893-1978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-06-11 |