| NPI | 1922369297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA G GANDOLFO Owner 985-687-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2753) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1123) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |