| NPI | 1558192047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILL WAYNE JASMINE Licensed Professional Counselor 985-817-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |