| NPI | 1710615927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER NAQUIN Aministrator 985-709-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-06-07 |