| NPI | 1235456468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONA L SHEWMAKER Psychologist 888-849-4887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ 13421) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 3944) |
| 103TC0700X Psychologist, Clinical (Licence: AZ 3822) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2011-07-22 |