| NPI | 1831568021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH BROOKE MATHESON Owner Operator 913-735-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2232) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 1887) |
| 101YP2500X Counselor, Professional (Licence: MO 2006031965) | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2023-11-03 |