| NPI | 1215283585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M. CHURCHILL Therapist/Owner 636-359-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2005010044) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2014-09-05 |