| NPI | 1790071629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI GLAUS PINGEL Clinical Psychologist/Owner 636-891-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2003030079) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |