| NPI | 1194180125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE NICOLE JONES Clinical Psychologist 816-785-9657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2006038986) |
| Additional Taxonomies | 251S00000X (Licence: KS 2208) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |