| NPI | 1073005674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESSICA R TAYLOR Licensed Professional Counselor 405-615-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6495) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |