| NPI | 1144837881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHIKO PEPPLE Owner 602-899-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2023-01-07 |