| NPI | 1669256954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON SOILEAU Owner, Psychotherapist 816-408-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |