| NPI | 1538699467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ROSE SCHOPP Lpc 314-808-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014031731) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |