| NPI | 1558607234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA K NISPEL Owner 816-524-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2008003866) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |