| NPI | 1104090992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BATES Professional Counselor 480-829-9435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC12145) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |