NPI | 1265090286 |
---|---|
Doing Business As | RESILIENT TRIBAL ROOTS, PLLC |
Entity Type | Organization |
Authorized Contact | GLENNA P. STUMBLINGBEAR-RIDDLE Owner/Psychologist 405-321-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist Counseling |
Enumeration Date | 2019-06-04 |
Last Update Date | 2022-04-08 |