| NPI | 1932964079 |
|---|---|
| Former Legal Business Name | ADOPTING IDENTITY |
| Entity Type | Organization |
| Authorized Contact | LIANA MARTINA MANEESE Owner 310-460-9482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-20 |