| NPI | 1073856563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN HERZOG Psychotherapist 314-602-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO SW000267) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |