| NPI | 1013880228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA ANN BONEBRAKE Licensed Professional Counselor 918-637-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |