| NPI | 1356042188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHARASA PAULINA THANASITH Marriage And Family Therapist 316-789-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2024-05-23 |