| NPI | 1104176825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA WILLIAMS Clinical Psychologist 337-419-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP.0018) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2017-02-01 |