| NPI | 1639013980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BARBOUR Secretary 323-445-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-04-21 |