| NPI | 1346004470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELA LEIGH WORMAN Licensed Professional Counselor 580-884-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-23 |