NPI | 1952646002 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA ANN CRIMMINS Owner 928-533-2388 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT10275) |
Additional Taxonomies | 251S00000X (Licence: AZ MFT-10275) |
Enumeration Date | 2012-11-30 |
Last Update Date | 2012-11-30 |