NPI | 1639690043 |
---|---|
Former Legal Business Name | VANYA KRASTEVA |
Entity Type | Organization |
Authorized Contact | JOANNA KRISTEVA Psychotherapist 814-503-0986 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 084403) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2019-05-29 |