| NPI | 1417498502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANN LAI WAH KUANG Licensed Associate Counselor 480-785-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LAC-16446) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |