| NPI | 1841484896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA HUTSON Psychologist 417-839-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2000159807) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-10-03 |