| NPI | 1891941456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PELLEGRIN Business Manager 225-769-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 751) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 1984) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |