| NPI | 1902176530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LAURALYNN NOBLEJAS Licensed Clinical Psychology 620-417-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: KS 1316) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |