| NPI | 1417415878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA NELSON Licensed Professional Counselor 806-789-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |