NPI | 1023407673 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISHA MUNDA Business Manager 814-954-4187 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008556) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS-016201) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2018-11-14 |