| NPI | 1700148160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LA MAR Owner 573-443-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 000750) |
| 101YM0800X Counselor, Mental Health (Licence: MO 000723) | |
| 103T00000X Psychologist (Licence: MO 2004024724) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2024-06-03 |