| NPI | 1134350135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA ELDER Member 814-367-3825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |