| NPI | 1881134948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARAH ELIZABETH Owner 480-241-7805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16518) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |