| NPI | 1538549563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FIAMENGO Executive Director 310-547-2197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA PCCI 1592) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |