| NPI | 1649537234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS MILLER Executive Director 626-802-5493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT31636) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA MFT31636) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-30 |