| NPI | 1568353043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE GORDON REINOSO Licensed Psychologist 928-851-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |