| NPI | 1104998954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN ROBERSON Business Manager 405-360-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |