| NPI | 1780312298 |
|---|---|
| Doing Business As | FEARLESSLY AUTHENTIC PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GARRISON Clinical Director 913-208-4241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-16 |