| NPI | 1912417999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNI FUNK President 310-853-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC1742) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL LMHC10028) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |