| NPI | 1780196352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SELLERS Owner/Sole Member 484-809-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS018371) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2019-10-08 |