| NPI | 1811222409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE JUDKINS Licensed Clinical Psychologist 314-579-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2002022105) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |