| NPI | 1871871798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA RAE KRAUFT Owner/Licensed Psychologist 479-254-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 74-6P) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2015-04-14 |