| NPI | 1295829844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J. YANICS Sole And Managing Member 913-341-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS PSY 985) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |