| NPI | 1861273674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOSHA S RAMOS LAKE Licensed Psychologist/Manager 785-220-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |