| NPI | 1376774380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CROSS WORTH Owner 314-913-4864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2002018127) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |