NPI | 1174953442 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA TIEGREEN Clinical Psychologist/Owner 913-323-6528 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP 2191) |
Enumeration Date | 2013-11-22 |
Last Update Date | 2013-11-22 |