| NPI | 1518226836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA BOKELBERG Clinical Psychologist 504-486-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: LA 1048) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |