| NPI | 1396004990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY JEAN FARNAN Licensed Psychologist/Owner/Member 417-619-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2009030819) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |