| NPI | 1871038224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE J HOLT Psychotherapist 310-632-8265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28252) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |