| NPI | 1043735012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELINE BAUER Owner/Founder 314-312-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013041573) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 225X00000X Occupational Therapist (Licence: MO 287066) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |