| NPI | 1811428840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LYNN FULLER Marriage And Family Therapist 405-919-7124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1214) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |