| NPI | 1518468164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L JABARA Sole Member 316-641-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LCP1479) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |