| NPI | 1376908376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY L HALE Office Manager 913-800-1374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2655) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |