| NPI | 1174619050 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TERRY DIANE MILLER Owner 636-939-2550 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 000707) | 
| Enumeration Date | 2006-10-05 | 
| Last Update Date | 2020-08-22 |