| NPI | 1104176064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE E KRAUSHAAR President 314-210-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2007003961) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |