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 |