| NPI | 1295091619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY ROLDAN SMITH Counselor/Therapist 816-694-9275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2006012562) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 813) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2014-04-14 |