| NPI | 1730659376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN RENEE KLIETHERMES Credentialing Specialist 573-303-7219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-12-04 |