NPI | 1285132696 |
---|---|
Entity Type | Organization |
Authorized Contact | AMBER DIANE UTTER Owner 816-892-0575 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2016040514) |
Enumeration Date | 2018-01-31 |
Last Update Date | 2020-04-06 |