| NPI | 1831447663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDANA MANSBACHER Owner/Practitioner 310-301-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA lcs21516) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-10-01 |