| NPI | 1396884193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN FAYE HANIAN BAILY Sole Proprietor Owner 480-838-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC0511) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-08-21 |