NPI | 1164872867 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA L GUGLIANO Owner/Manager 602-740-7096 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 50875) |
Enumeration Date | 2016-06-14 |
Last Update Date | 2016-06-14 |