Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | OK |
NPI | 1134387319 |
---|---|
Provider Name | Ms. Trisha Carol Lawrence |
First Address | Sapulpa, OK 74066-7033 |
Second Address | Sapulpa, OK 74066-7033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2008 |
Last Update Date | 24/05/2008 |