| NPI | 1952779522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES PARKER Member 816-343-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2012041377) |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2015-09-12 |