| NPI | 1235680984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL JANAE NEWMAN Licensed Professional Counselor 405-401-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 5641) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |