| NPI | 1194140756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMECA WOODY-COOPER Counseling Psychologist 314-800-4215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MO LC1378481) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2024-01-08 |