| NPI | 1043727167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARA N. RAMPERSAD Chief Consultant 602-345-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: AZ 4742) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4742) |
| 103TC0700X Psychologist, Clinical (Licence: HI 1275) | |
| 103TC1900X Psychologist, Counseling (Licence: AZ 4742) | |
| 103TC1900X Psychologist, Counseling (Licence: HI 1275) | |
| 103TF0200X Psychologist, Forensic (Licence: HI 1275) | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |