| NPI | 1740719624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIE BEAUVAIS Psychotherapist 267-997-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019453) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2020-09-04 |