| NPI | 1740632827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE GILMAN Clinical Social Worker/Owner 636-484-4371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2011028460) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2013041575) |
| 101YP2500X Counselor, Professional (Licence: MO 2013008645) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |