| NPI | 1720574817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ANN MOORE President/CEO 314-802-8796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2012036889) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |