| NPI | 1346742541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA DEWBRAY Psychologist 480-505-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4574) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-13947) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2020-09-22 |