| NPI | 1861096489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAIDEN NICOLE GREEN Licensed Professional Counselor 405-765-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |