| NPI | 1467160010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN NABORS Licensed Professional Counselor 479-650-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |