| NPI | 1487068706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY T RICHTER Owner 618-581-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65608) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |