| NPI | 1275634644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY J MILLER Owner/President 417-627-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-11-12 |