| NPI | 1194177717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH J WILDT Owner/Therapist 636-390-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2000157699) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |