| NPI | 1811044233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE A ROBERTS Owner 314-578-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2025-12-16 |