| NPI | 1861759219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERTRUDE M PARKER Sole Mbr 985-641-2513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2013-08-21 |