NPI | 1497078646 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA HUBBARD Member 816-591-3006 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2010004313) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 727) |
Enumeration Date | 2010-03-02 |
Last Update Date | 2015-03-30 |