| NPI | 1366816944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE FRYE Licensed Professional Counselor 913-634-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: KS LPC 2845) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |