| NPI | 1649633801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RASBAND Practice Owner 310-479-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT31997) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |