| NPI | 1164150298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN REISNER Licensed Clinical Professional Coun 913-390-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |