| NPI | 1023498110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI LAXSON Co Owner 405-209-2748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |