NPI | 1356002612 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSANDRA BOURNIVAL Owner 405-276-4747 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2022-01-07 |
Last Update Date | 2022-01-07 |