| NPI | 1801641147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA LYNNE INGLE Marriage & Family Therapist 316-347-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-08-06 |