| NPI | 1568273159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA GILLIAM, PSY.D. Psychologist/Owner 417-274-0297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |