| NPI | 1922549690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL NICHOLE VASQUEZ Owner/Therapist 479-659-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6089) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2020-07-21 |