| NPI | 1033356738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA GABRIEL BURTON Licensed Professional Counselor 928-772-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC0410) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |