| NPI | 1497592596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA WIDNEY President 918-770-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-17 |