| NPI | 1851762330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA B. WHITE Owner 623-521-9043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC13958) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |