| NPI | 1992195861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH B BURTON Licensed Professional Counselor 662-816-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MS 1464) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |