| NPI | 1306567748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI GIBBS Licensed Professional Counselor 580-243-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2022-09-05 |