| NPI | 1770887994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI DENISE HENSON President 918-706-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3475) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |