| NPI | 1043686298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDAL J PENNER Psychotherapist/Owner 620-708-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 142) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 045) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |