| NPI | 1043667066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE EICHMAN ABELLA Owner 913-296-0712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP 1673) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |