| NPI | 1750450151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA VONNE KATHERYN HASSAN Marriage Family Therapist 714-953-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 34068) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |