| NPI | 1831979087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED COSSE Executive Director 818-939-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |