| NPI | 1598150088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH EDMONDS Psychologist 928-830-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3481) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |