| NPI | 1245776111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYLA HANSELMAN Therapist 405-353-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6047) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |