| NPI | 1639611510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN KANKE Owner 816-351-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015004773) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2018-06-07 |