| NPI | 1104998954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN ROBERSON Business Manager 405-360-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2025-09-11 |