| NPI | 1639548753 |
|---|---|
| Former Name | LYCA CARROLL O'LOUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT101200) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA LEP3632) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2021-10-20 |