NPI | 1134974355 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA LEMON President, Co Founder, Co CEO, Cxo 816-400-8739 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103G00000X Clinical Neuropsychologist | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
Enumeration Date | 2024-04-22 |
Last Update Date | 2024-04-22 |