| NPI | 1023496262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN S GONGOLA Doctor Of Psychotherapy 479-393-9866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0512076) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2024-04-20 |