| NPI | 1851412381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN C. CONCANNON Marriage Family Therapist 818-992-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT20873) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |