NPI | 1598245458 |
---|---|
Entity Type | Organization |
Authorized Contact | RHONDA S WALLER-DANG President, Licensed Mft 323-536-1640 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 107844) |
Enumeration Date | 2018-08-20 |
Last Update Date | 2018-08-20 |