| NPI | 1306142278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J EARLY President, Licensed Psychologist 314-894-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MO 2006028096) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |