NPI | 1093015380 |
---|---|
Entity Type | Organization |
Authorized Contact | RONDA KIEFER Member/Owner 405-834-0104 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4308) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2019-04-17 |