| NPI | 1609016732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PALLAVI S. GUPTA Owner 520-661-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC11968) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |