| NPI | 1417508904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA L CORNWELL Phd And Owner 918-708-9558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |