| NPI | 1881889152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN DIANE BURKE Therapist 816-210-4982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2003003710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2291) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-02-04 |