| NPI | 1629510318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SUSMAN Marriage And Family Therapist 310-291-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT86889) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |