| NPI | 1285081364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE JADE LATIMER Owner/Provider 918-557-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5804) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-09-15 |