| NPI | 1366136210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA D BOSOLD Licensed Professional Counselor 870-878-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-15 |