| NPI | 1710254420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN KELLY Licensed Professional Counselor 405-640-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4273) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |