NPI | 1104224328 |
---|---|
Entity Type | Organization |
Authorized Contact | KAILEE Y RICHTER Owner 724-413-3070 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000781) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC005582) |
Enumeration Date | 2014-12-22 |
Last Update Date | 2014-12-22 |