| NPI | 1396005716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA GARRY Sole Member 913-328-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013724) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |