| NPI | 1912573171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY ESSER TEMPLETON Owner 660-621-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-05-28 |