| NPI | 1265725469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLA INGRAM Psychotherapist 610-328-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW013930) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-11-03 |