| NPI | 1932475266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA B DETERS Owner/Clinical Psychologist 985-662-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1066) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-06-29 |