| NPI | 1679719306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN BELTRAN THIRAKUL Owner/Psychologist 480-775-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3783) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 3783) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2019-07-26 |