| NPI | 1588032056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY MARIE BAUER Owner 267-606-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA Mf00818) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |