| NPI | 1063172963 |
|---|---|
| Former Legal Business Name | AZMAIRA H MAKER PHD CLINICAL PSYCHOLOGIST A PROFESSIONAL CORP |
| Entity Type | Organization |
| Authorized Contact | AZMAIRA H MAKER President 858-531-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |