| NPI | 1770017097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN KIRBY Counselor/Owner 318-564-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5034) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2018-03-17 |