| NPI | 1063821445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE EMILY GORIGOITIA Owner 610-703-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |