| NPI | 1649863648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE MUMBY Owner / Psychologist 602-902-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |