| NPI | 1972055325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN NICOLE KING Owner 816-810-9046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 840) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 755) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |