NPI | 1841300613 |
---|---|
Former Legal Business Name | CYNTHIA M BRADY (INDIVIDUAL) |
Entity Type | Organization |
Authorized Contact | CYNTHIA M BRADY President 405-720-6335 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK 152) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 057) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |