| NPI | 1134725039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY BREWER Licensed Professional Counselor 806-781-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |