| NPI | 1679018394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI TUDISCO Licensed Professional Therapist 520-241-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 15557) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |