| NPI | 1508422981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN DEIBEL QUEEN Licensed Professional Counselor 314-910-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2019-05-11 |