| NPI | 1205154580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA L BOKELBERG Member 504-780-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: LA 1048) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |