| NPI | 1235305533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY JOANNE AMBERG License Professional Counselor 636-938-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO CS002441) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |