| NPI | 1093041683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C. BOUWKAMP-MEMMER Sole Member/Licensed Psychologist 573-356-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2008034834) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |