| NPI | 1104360239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI SEULEAN Licensed Professional Counselor 636-290-5147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014030564) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2017-03-27 |