| NPI | 1205972692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA HOLT GAUTIER Sole Propietor 412-401-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS016051) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |