| NPI | 1073530903 |
|---|---|
| Former Legal Business Name | KELLY LINER DEROUEN |
| Entity Type | Organization |
| Authorized Contact | KELLY LINER DEROUEN Counselor 985-876-5748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-11-24 |