| NPI | 1184013104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LYNN KOOS Licensed Professional Counselor 814-528-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007269) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2016-01-29 |