| NPI | 1730944984 |
|---|---|
| Other Name | KETHLYN STAAB |
| Entity Type | Organization |
| Authorized Contact | KETHLYN STAAB Provider/Owner 316-706-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |