| NPI | 1073186367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA HILLMAN License Professional Counselor 573-433-0587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2022-02-10 |