| NPI | 1609142421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LEA LORE Owner/ Therapist 480-818-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-12587) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |