Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 1726 | OK |
NPI | 1003032590 |
---|---|
Provider Name | Carrolyn H Salvatierra |
First Address | Oklahoma City, OK 73112-2212 |
Second Address | Oklahoma City, OK 73103-3918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |