| NPI | 1518057892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MICHELE MACAULAY Counselor 318-393-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3290) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1043) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2020-08-22 |