| NPI | 1518334945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA KENNEY Psychotherapist 323-692-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 20060) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |