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 |