NPI | 1871043133 |
---|---|
Entity Type | Organization |
Authorized Contact | MADISON BRIGHTWELL Marriage And Family Therapist 310-801-9097 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF71596) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-10-11 |