| NPI | 1902359433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN G PERRICELLI Licensed Professional Counselor 215-840-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |