| NPI | 1265829683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA MUSE CARRANZA Licensed Professional Counselor 337-806-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 4581) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |