| NPI | 1699099556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ANIKA HANNAH Owner 314-725-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 000325) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |