| NPI | 1215244553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M BOGUE GILMORE Owner 316-631-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 267) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |