| NPI | 1760263602 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NICOLE SECKEL Licensed Professional Counselor 314-753-5728  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2023-10-06 | 
| Last Update Date | 2023-10-06 |