| NPI | 1437603057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HOLBROOKS Therapist 314-520-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2008005342) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |