LACEY RAE LATKA

WESTLAKE VILLAGE, CA
NPI1699214601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  97122)
Enumeration Date2017-02-23
Last Update Date2017-02-23
Business Address
Miss LACEY RAE LATKA LMFT
1800 BRIDGEGATE ST #108
WESTLAKE VILLAGE, CA 91361-1448
Phone number: 805-601-7044
Mailing Address
Miss LACEY RAE LATKA LMFT
1800 BRIDGEGATE ST #108
WESTLAKE VILLAGE, CA 91361-1448
Phone number: 805-601-7044