| NPI | 1215278585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE D COOPER LOPEZ Owner/ Clinical Psychologist 520-369-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ 4353) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |