| NPI | 1790181063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JOAN ANDERSON /Psychologist/Owner 913-353-5993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 1767) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |