| NPI | 1730565151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA PAIGE Private Practice 310-395-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS5573) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |