| NPI | 1790271716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEMMA CANNON Owner 310-770-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2021-04-01 |