| NPI | 1871008417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MCNEIL Owner 314-546-8641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2011021421) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2013008444) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |