NPI | 1104212356 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER ERB CARAMENICO Sole Proprietor/Clinical Therapist 267-454-5322 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004773) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000624) |
1041C0700X Social Worker, Clinical (Licence: PA CW017082) | |
Enumeration Date | 2015-04-14 |
Last Update Date | 2016-04-27 |