| NPI | 1992013569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE BABIN BONIN Owner 337-504-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MP.0005) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1224) |
| 101YM0800X Counselor, Mental Health (Licence: LA 5048) | |
| 101YM0800X Counselor, Mental Health (Licence: LA 4398) | |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: LA 3642) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2019-11-25 |