| NPI | 1568340461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES MICHELE CUSICK Owner 818-425-9337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |