| NPI | 1508642851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARITA REQUENA-LAYTON License Professional Counselor 907-830-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |