| NPI | 1982955191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALBERTY Psychologist 417-627-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MO 2003019242) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-10-17 |