| NPI | 1982595328 |
|---|---|
| Other Name | --NONE-- |
| Entity Type | Organization |
| Authorized Contact | SARAH BAUER Authorized Official 314-712-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-08-28 |