| NPI | 1043521081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA PRINCE Clinical Coordinator 405-377-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 884) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3284) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |