| NPI | 1861943953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN CAROTHERS Therapist 314-222-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2012013694) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |