| NPI | 1174068902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN CLARK DIEHL Owner, Licensed Prof. Counselor 267-416-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC008888) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |