| NPI | 1720323934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HENRY MUKES Owner 316-990-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 1041) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 1158) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |