| NPI | 1558740225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIBA RABIZADEH Secretary 310-625-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist (Licence: CA Psy17001) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |