| NPI | 1629775069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLE SHOOK Licensed Professional Counselor 928-301-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |