Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 7678 | LA |
NPI | 1003384249 |
---|---|
Provider Name | Mrs. Lauralie Vivien Caimi |
First Address | Kenner, LA 70065 |
Second Address | Chalmette, LA 70043-3779 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2018 |
Last Update Date | 20/12/2019 |