| NPI | 1902172893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERTRUDE PARKER Sole Mbr 985-641-2513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2013-08-26 |