| NPI | 1992976955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFINI AUTUMN ROBERTS Psychologist 417-886-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2007015271) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2012-02-20 |