| NPI | 1063775252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE N RUBIN Licensed Professional Therapist 314-504-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009009102) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |