Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | OK |
NPI | 1003176264 |
---|---|
Provider Name | Sabina Gurung |
First Address | Oklahoma City, OK 73105-5104 |
Second Address | Oklahoma City, OK 73105-5104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2012 |
Last Update Date | 22/05/2012 |