| NPI | 1881723773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY LYNN GLASS Therapist, Member Of Tofbc, LLC 636-561-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2001020554) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |