| NPI | 1982129243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY NICHOLSON Sole Proprietor 337-241-9017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 7463) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |