| NPI | 1720598576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN KELLER Co Owner/Psychologist 479-879-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |