NPI | 1861226342 |
---|---|
Entity Type | Organization |
Authorized Contact | MICAELA WAMBOLDT Lpc 480-757-5885 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 171400000X Health & Wellness Coach |
Enumeration Date | 2024-08-28 |
Last Update Date | 2024-10-07 |