| NPI | 1073915641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ANTIONETTE GAWEDZINSKI Licensed Professional Counselor 314-775-9642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2012040937) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |