| NPI | 1528317955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY K SOMMERFELDT Owner 310-746-5929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22294) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70014) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2013-08-08 |