NPI | 1982449054 |
---|---|
Other Name | KELLY LITTLE |
Entity Type | Organization |
Authorized Contact | AMANDA KELLY LITTLE Mental Health Counselor 479-235-6493 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2024-06-28 |
Last Update Date | 2024-06-28 |