| NPI | 1083736870 |
|---|---|
| Former Name | LORRAINE FONTENOT PREJEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: LA LPC 1783) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA LMFT 196) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |