| NPI | 1508238254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL DORN Psychotheriapist 310-863-0358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS23920) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-11-16 |