| NPI | 1043538721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH SHIELDS Director 907-252-9082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 798) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2013-05-07 |