| NPI | 1801211404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DAVINA MEVORAK Licensed Marriage Family Therapist 818-400-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52895) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |