| NPI | 1689126120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MUNTZ FISCH Owner 417-414-9641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MO 2010019908) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2024-07-24 |