| NPI | 1679741144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MCKENNA Co Owner 417-888-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO PY01825) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-05-01 |