| NPI | 1033466297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CAROL GLASS Owner, Psychotherapist 267-977-7316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015845) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |