| NPI | 1023508652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN L GOODHEART Licensed Psychologist, Operator 785-623-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2180) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |