| NPI | 1467042572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNA LEDESMA Licensed Professional Counselor 314-629-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |