| NPI | 1043051766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA WHITE Licensed Professional Counselor 918-231-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |