| NPI | 1629460274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA K WALLACE Psychotherapist 323-270-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45450) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |