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 |