| NPI | 1780959957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JEANNE YANICS Owner/Single Member 913-341-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS PSY 985) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |