| NPI | 1417387739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYLE LATTIE Clinical Psychologist/Owner 417-861-6214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36497) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |