| NPI | 1417663964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN VALLEY Licensed Clinical Social Worker 314-494-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |