| NPI | 1104058312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY G EPSTEIN Provider 520-495-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-10646) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |