| NPI | 1801320262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SLABODA DESSEREAU Psychotherapist 267-222-0851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000928) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |