| NPI | 1780419390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHEN HACKER Licensed Professional Counselor 316-226-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |