| NPI | 1447485453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CATHERINE BURCKHARDT Proprietor 636-795-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO MO 002706) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |