| NPI | 1851769509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA KAYE VANDERSHAAF Licensed Professional Counselor 405-443-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 4983) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |