| NPI | 1043969173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANNE POPKEY Licensed Professional Counselor 480-390-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |