| NPI | 1710610928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERLEEN SALLEE Licensed Professional Counselor 479-883-6362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-08 |