| NPI | 1184124422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN OELKLAUS Owner 913-908-6786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2432) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 921) |
| 1041C0700X Social Worker, Clinical (Licence: KS 5751) | |
| 133V00000X Dietitian, Registered (Licence: KS 813812) | |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |