| NPI | 1750754917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA PUSHIN Owner 818-305-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 26217) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |