| NPI | 1114199031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JAYNE BUEK Member 314-215-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2006012973) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-06-03 |