| NPI | 1275014847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE PAULINE YOUNG Owner 580-304-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1136) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 1136) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |