NPI | 1356770192 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE MARIE BOLTON Licensed Psychologist/Owner 717-745-6166 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017227) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2013-11-02 |
Last Update Date | 2020-03-03 |