| NPI | 1073222683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH TYNDALL Owner 314-516-3753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |