| NPI | 1437485844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN FULTON WALDEN Owner/Clinician 225-924-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 4991) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |