| NPI | 1922657477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY PELLERITO Licensed Professional Counselor 816-427-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2025-04-16 |