| NPI | 1073020996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MCLEAN SIRRIDGE Owner 913-579-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 2015007530) |
| Enumeration Date | 2017-12-30 |
| Last Update Date | 2017-12-30 |