| NPI | 1295254704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE BRANHAM Sole Owner 573-817-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO SW005043) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-07-21 |