| NPI | 1417398389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA S. BROOKER Manager 316-263-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP 1780) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-07-21 |