| NPI | 1043768286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A LIKIARDOPOULOS Office Manager 316-990-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2633) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |