| NPI | 1811362015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA CARLTON Executive Director 405-570-2139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1173) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 5550) |
| 106H00000X Marriage & Family Therapist (Licence: OK 1154) | |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2016-01-22 |