| 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 |