| NPI | 1225585201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MICHELLE HENRY Therapist 479-420-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1312115) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M1312014) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |