NPI | 1467814376 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNADETTE ELENA BORCHARDT Psychotherapy/Member Of LLC 816-405-9985 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2013003118) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2011010746) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |