| NPI | 1538533948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA S DE VRIES Sole Proprietor 724-766-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA PC005515) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2016-01-14 |