| NPI | 1356873806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY TAYLOR Licensed Professional Counselor 814-807-2746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC007192) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |