Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | NONE |
NPI | 1003030214 |
---|---|
Provider Name | Mrs. Grace Daniel Joy |
First Address | Sapulpa, OK 74066-4201 |
Second Address | Sapulpa, OK 74066-4201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |