NPI | 1275838989 |
---|---|
Doing Business As | NONE |
Entity Type | Organization |
Authorized Contact | MARY M BRANT Owner 816-351-6997 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2007000444) |
Enumeration Date | 2011-01-11 |
Last Update Date | 2011-01-11 |