| NPI | 1508085291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY SUSAN EAVES Managing Member 913-499-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: KS KS 811) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-11-29 |