| NPI | 1235819707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DERNER Owner 314-803-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 133V00000X Dietitian, Registered | |
| 171400000X Health & Wellness Coach | |
| 174H00000X Health Educator | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |