| NPI | 1730443813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKALIN N ASHTON Owner 314-222-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2002021870) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |