| NPI | 1306084934 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | GLORIA J SCHRATWIESER Lpc 405-737-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3632) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |