| NPI | 1699076265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JO LARSON Owner 417-627-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2006036429) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |