| NPI | 1720324643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KATHRYN FULLER GERHART Owner, Professional Counselor 918-864-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |