| NPI | 1346643277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVA MONIQUE ROBINSON Owner 314-395-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2008032664) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-11-14 |