| NPI | 1972791531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANNE MOERGEN President/Owner 314-997-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 01628) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2010-05-03 |