| NPI | 1306026539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN BOOTH President/Therapist 636-949-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 004635) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |