| NPI | 1932663283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNALISA GWIN-VINSANT Licensed Professional Counselor 918-760-2464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |