| NPI | 1992243745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LOUISE TRGOVAC President 570-490-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 9611) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |