| NPI | 1447664180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ELDRIDGE L Icensed Professional Counselor 602-499-3542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ LPC-15142) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |