| NPI | 1366162216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVANNAH ROSE WOOD Licensed Professional Counselor 903-495-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2025-06-19 |