| NPI | 1154995090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DUGAN Owner/Clinical Psychologist 417-414-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2021-05-15 |