| NPI | 1407153216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA BETH HELMHOLDT Owner 480-323-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4133) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |