| NPI | 1225566375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNA EMSHOFF Credentialing 405-831-9084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 5212) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2018-03-17 |