| NPI | 1619322864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA BUWALDA Psychologist/Proprietor 480-921-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSLG7573) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |