| NPI | 1326418583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE COOKE Psychotherapist 215-280-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW014098) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |