| NPI | 1316431984 |
|---|---|
| Doing Business As | SOUL BLOSSOM |
| Entity Type | Organization |
| Authorized Contact | NEA ELIZABETH MOTZER Owner 814-602-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005433) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |