| NPI | 1588272405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAAYDA ELLINGHAM Marriage And Family Therapist 818-481-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2021-05-24 |